Donnelly, Renee A

Donnelly, Renee A is an individual health care provider with primary practice located at 3400 Civic Center Blvd 2 West, Philadelphia PA 19104-5127. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Donnelly, Renee A can be contacted via phone (215) 615-0063.

Contact Information

Primary practice address
3400 Civic Center Blvd 2 West Philadelphia PA 19104-5127
Phone: (215) 615-0063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2265805 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2265805 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN1003175 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP016239 Pennsylvania

Profile Details

NPI number 1760797427
LBN Legal business name Donnelly, Renee A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Sep 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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